More on “Midface Migraine” – and Tooth Aches.

“Midface migraine” is not a type of migraine, but a description of a migraine attack with pain in the face. It’s not unusual for patients to experience pain in various areas at various times.

Pain in the face could be a sign of a related condition, but on the other hand, it could lead to misdiagnosis. Recently we talked about the too common misdiagnosis of sinusitis.

But a case study pointed out that two conditions can affect each other. In this case (actually two cases), it was dental issues (see: Midface migraine with concomitant dental disease: A report of two cases.)

Now, the report does point out that migraine is actually sometimes misdiagnosed as a dental issue, such as a tooth infection. But these cases there was an actual dental issue.

Both patients had midface migraine-type pain and symptoms. The first patient found that the tooth pain and migraine pain were lessened by a root canal, and then went on to find more relief with sumatriptan (a common migraine abortive).

The second patient tried sumatriptan first, and it didn’t help much. However, a root canal provided significant relief.

If you’re experiencing facial pain, or tooth pain, that is accompanied by migraine symptoms, it may be wise to see a dentist. And if you’re a dentist, remember that migraine and tooth decay or infection may actually go together. A careful diagnosis can help alleviate pain and additional symptoms.